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Báo cáo khoa học: "Evidence-based guidelines for bleeding in trauma patients: where do we go from here"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Evidence-based guidelines for bleeding in trauma patients: where do we go from here? | Available online http ccforum.eom content 11 2 128 Commentary Evidence-based guidelines for bleeding in trauma patients where do we go from here Joseph P Minei Department of Surgery UT Southwestern Medical Center and Parkland Memorial Hospital Dallas Texas USA Correspondence Joseph P Minei joseph.minei@utsouthwestern.edu Published 27 April 2007 This article is online at http ccforum.com content 11 2 128 2007 BioMed Central Ltd Critical Care 2007 11 128 doi 10.1186 cc5737 See related research by Spahn et al. http ccforum.com content 11 1 R17 Abstract The development of evidence-based guidelines has gained popularity as a strategy to reduce variation in practice and to orient clinical care around documentable best practices. Based on available data the new European guidelines for the management of bleeding in the trauma patient do deliver a number of sound recommendations. However some issues remain controversial and like many guidelines the actual translation of these evidencebased recommendations into routine clinical practice protocols continues to leave opportunity for variation. Nevertheless this consensus guideline provides an excellent starting point. As evidence continues to accumulate future iterations should provide greater specificity and move us closer to the definitive best practice. The European guidelines for the management of bleeding in the trauma patient recently reported by Spahn and coworkers 1 is a multidisciplinary multi-institutional evidence-based consensus-driven approach to the diagnosis and management of bleeding in the injured patient. It is well referenced well written and timely in nature. Although potentially susceptible to bias introduced by the authors the grading system used is generally appropriate. The majority of the recommendations are sound and are centered around rapid control of surgical bleeding proper resuscitation and transfusion of red cells and coagulation factors. Fittingly the authors make their most important .